Patient's question:
Detailed medical history and consultation purpose: I have a history of dysmenorrhea for over a year. At first, it was only painful on the second day when the flow was the heaviest, but it has now developed into continuous pain for three days. The condition is quite severe, and I am currently relying on over-the-counter pain relievers.Could you please recommend any Chinese herbal formulas for treating dysmenorrhea, as well as any good suggestions?
Doctor's answer:
Hello:Qi stagnation and blood stasis, appearing before or during menstruation as lower abdominal distension and cramping pain, intermittent pain that resists pressure, or accompanied by chest and hypochondriac fullness, nipple tenderness, irritability, reduced menstrual flow or sluggish menstruation, dark purple menstrual color with blood clots, and a dark purple tongue with petechiae. For this, you should choose Chinese patent medicines that have the effects of soothing the liver, regulating qi, resolving blood stasis, and relieving pain, such as "Desheng Dan," 1–2 pills each time, taken twice daily with warm water; or "Women's Menstrual Regulation Pill," 9 grams each time, taken twice daily with warm water.
Yang deficiency and internal cold, with cold congealing in the uterus, causing lower abdominal cold pain during or after menstruation, preference for warmth and pressure, relief from warmth, pale menstrual color with reduced flow, accompanied by lower back and leg weakness, cold hands and feet, clear and long urination, and white tongue fur. For this, you should choose medicines that have the effects of warming the meridians, dispelling cold, nourishing blood, and relieving pain, such as "Yikun Pill," 1 pill each time, taken twice daily with warm water; or "Nüjin Dan," 1 pill each time, taken twice daily with warm water; or "Aifu Nuangong Pill," 1–2 pills each time, taken twice daily with warm water.
Qi and blood deficiency, with lower abdominal dull pain during menstruation or during the period, preference for massage and pressure, reduced menstrual flow with pale and thin quality, accompanied by fatigue, pale yellow complexion, poor appetite, and loose stools. For this, you should choose Chinese patent medicines that have the effects of replenishing qi, nourishing blood, and relieving pain, such as "Wujichoubeng Pill," 1 pill each time, taken twice daily; or "Eight-Jade Dan," 1 pill each time, taken twice daily with warm water.
Kidney and liver deficiency, with lower back and leg weakness 1–2 days after menstruation, dull lower abdominal discomfort, or hot flashes, dizziness, tinnitus, thin white or yellow tongue fur. For this, you should choose Chinese patent medicines that have the effects of nourishing the kidneys and liver, and relieving pain, such as "Liuwei Dihuang"